Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature

Intracardiac thrombi in preterm infants are not common but may lead to fatal outcomes. Predisposing and risk factors include small vessel size, hemodynamic instability, immaturity of the fibrinolytic system, indwelling central catheters and sepsis. In this paper, we present our own experience with a...

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Main Authors: Ayala Gover, Dawod Sharif, Liat Yaniv, Arieh Riskin
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/4/764
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author Ayala Gover
Dawod Sharif
Liat Yaniv
Arieh Riskin
author_facet Ayala Gover
Dawod Sharif
Liat Yaniv
Arieh Riskin
author_sort Ayala Gover
collection DOAJ
description Intracardiac thrombi in preterm infants are not common but may lead to fatal outcomes. Predisposing and risk factors include small vessel size, hemodynamic instability, immaturity of the fibrinolytic system, indwelling central catheters and sepsis. In this paper, we present our own experience with a case of a catheter-related right atrial thrombus in a preterm infant, which was successfully treated with an aspiration thrombectomy. Then, we review the literature on intracardiac thrombosis in preterm infants: epidemiology, pathophysiology, clinical signs, echocardiographic diagnostic features and treatment options are discussed.
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spelling doaj.art-35d2470608ca447bbfc9f0edb7d686f62023-11-16T20:02:39ZengMDPI AGDiagnostics2075-44182023-02-0113476410.3390/diagnostics13040764Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the LiteratureAyala Gover0Dawod Sharif1Liat Yaniv2Arieh Riskin3Neonatal Intensive Care Unit, Bnai-Zion Medical Center, Haifa 3339419, IsraelRappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3200003, IsraelRappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa 3200003, IsraelNeonatal Intensive Care Unit, Bnai-Zion Medical Center, Haifa 3339419, IsraelIntracardiac thrombi in preterm infants are not common but may lead to fatal outcomes. Predisposing and risk factors include small vessel size, hemodynamic instability, immaturity of the fibrinolytic system, indwelling central catheters and sepsis. In this paper, we present our own experience with a case of a catheter-related right atrial thrombus in a preterm infant, which was successfully treated with an aspiration thrombectomy. Then, we review the literature on intracardiac thrombosis in preterm infants: epidemiology, pathophysiology, clinical signs, echocardiographic diagnostic features and treatment options are discussed.https://www.mdpi.com/2075-4418/13/4/764intracardiac thrombuspretermintra-atrial thrombusthrombolysisthrombectomy
spellingShingle Ayala Gover
Dawod Sharif
Liat Yaniv
Arieh Riskin
Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
Diagnostics
intracardiac thrombus
preterm
intra-atrial thrombus
thrombolysis
thrombectomy
title Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
title_full Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
title_fullStr Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
title_full_unstemmed Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
title_short Intracardiac Thrombi in Preterm Infants—A Case Study and Review of the Literature
title_sort intracardiac thrombi in preterm infants a case study and review of the literature
topic intracardiac thrombus
preterm
intra-atrial thrombus
thrombolysis
thrombectomy
url https://www.mdpi.com/2075-4418/13/4/764
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AT dawodsharif intracardiacthrombiinpreterminfantsacasestudyandreviewoftheliterature
AT liatyaniv intracardiacthrombiinpreterminfantsacasestudyandreviewoftheliterature
AT ariehriskin intracardiacthrombiinpreterminfantsacasestudyandreviewoftheliterature